Individual
DR. JASON ABOUDI MOUABBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105822
MI
207RH0000X
Hematology (Internal Medicine) Physician
S6695
TX
207RX0202X
Medical Oncology Physician
Primary
S6695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413445405
—
TX
01
—
413445406
MEDICAID CSHCN
TX
Enumeration date
06/02/2014
Last updated
11/11/2021
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